Title
Investigational Study of Oral Fish Oil in Treating Parenteral Nutrition Associated Liver Disease
An Initial Trial of Enteral Fish Oil Supplementation in the Treatment of Parenteral Nutrition-associated Liver Disease in Patients With Short Bowel Syndrome
Phase
Phase 1/Phase 2Lead Sponsor
Harvard UniversityStudy Type
InterventionalStatus
WithdrawnIndication/Condition
Liver Disease Short Bowel SyndromeIntervention/Treatment
icosapent ethyl ...Study Participants
0The purpose of this study is to investigate the usefulness of oral fish oil(Lovaza)in normalizing liver function in patients who have parenteral nutrition associated liver disease. The investigators believe that patients who take oral fish oil will normalize liver function faster than those who do not
This is designed as a randomized placebo controlled trial of oral fish oil (Lovaza) in normalizing parenteral nutrition associated liver disease.
supplied as 1gram transparent soft-gelatin capsules filled with yellow oil, dosage is 1gram per kilogram of body weight per day, not exceeding 4grams per day until normalization of liver function test
1 gram per kilogram body weight per day, not exceeding 4 grams
Patients randomized to this group will receive Lovaza 1gram per kilogram of body weight, not exceeding 4grams a day
Patients randomized to this group will receive corn oil supplement 1gram per kilogram of body weight, not exceeding 4grams per day
Inclusion Criteria: History of parenteral nutrition(PN)administration >4weeks PN associated liver disease from intestinal failure ability to take full enteral feed body weight equal or greater than 3kg elevated ALT level twice of that normal(ALT>84)at the time PN is weaned off Exclusion Criteria: Hemodynamic instability renal failure suspected congenital obstruction of the hepatobiliary system diagnosis hepatitis A, B, or C diagnosis of alpha 1-antitrypsin deficiency diagnosis of cytomegalovirus infection diagnosis of HIV children in care